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Nursing HomeMedicaid Investigative

Edenbrook Sheboygan

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3014 Erie Ave, Sheboygan, WI 53081121 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Edenbrook Sheboygan Nursing Home in Sheboygan, WI — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (12 vs median 7)
  • High staff turnover (57%)
  • High RN turnover (56%)

Bottom 25% in WI · Meets national RN staffing standard · Worst in EDEN SENIOR CARE chain · $202,946 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 83% of the national benchmark, which can affect medication management and response times. The facility has 14 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
83%
Registered nurses for medical care
Total Nursing
3.27hrs
80%
All nurses + aides combined
Staff Turnover
60%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility40.7%
Worse than Avg
Here
40.7%
US
15.5%
WI
15.9%
Sheboygan
23.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
15.3%
WI
19.9%
Sheboygan
25.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
14.4%
WI
16.7%
Sheboygan
20.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.3%
Better than Avg
Here
17.3%
US
19.4%
WI
25.0%
Sheboygan
26.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.3%
Mixed vs Avgs
Here
5.3%
US
12.1%
WI
5.2%
Sheboygan
4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.7%
Worse than Avg
Here
20.7%
US
19.5%
WI
16.8%
Sheboygan
16.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.3%
Worse than Avg
Here
78.3%
US
81.8%
WI
86.6%
Sheboygan
86.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility85.5%
Better than Avg
Here
85.5%
US
79.8%
WI
82.2%
Sheboygan
80.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
WI
1.3%
Sheboygan
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
3penalties
Above state avg (9.8)
20 complaint-triggered
$202,946 in fines

Families have filed numerous complaints leading to 23 deficiencies, indicating ongoing care concerns. The facility has persistent issues with accident prevention and safety hazards, wound care, and medication management that recur across multiple surveys and complaints. While all deficiencies show correction dates, the pattern of repeated violations in core care areas, especially safety supervision which appears in both complaint and routine surveys, suggests systemic challenges requiring careful family evaluation.

Feb 4, 2026Complaint
2
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Dec 17, 2025Complaint
4
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Sep 3, 2025Complaint
1
0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Jul 9, 2025Complaint
1
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Apr 30, 2025Routine
16
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0927Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Feb 26, 2025Complaint
1
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Feb 26, 2025

$161,788

Fine

Jul 11, 2024

$14,053

Fine

Feb 28, 2024

$27,105

Ownership & Operations

Who Operates This Facility

Owner / Operator

Edenbrook Sheboygan

Organization Type

for profit

Chain Affiliation

Chain Name

Eden Senior Care

Chain Size

19 facilities nationwide

Chain avg rating: 2.6/5 · Rank 18 of 18 (Worst)

Ownership & Management

Owners

Sr Opco LLC

Owner (parent company) · Organization

40%

Sunny Ridge Investors LLC

Owner (parent company) · Organization

60%

Lifsics, Channie

Owner (parent company)

Mauer, Dovie

Owner (parent company)

Polstein, Mordechai

Owner (parent company)

Stesel, Maxim

Owner (parent company)

Zahler, Charles

Owner (parent company)

Key personnel

Sheboygan Snf Realty LLC5% or Greater Mortgage InterestLifsics, ChannieManaging Control - Governing BodyMauer, DovieManaging Control - Governing BodyPolstein, MordechaiManaging Control - Governing BodyStesel, MaximManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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